| NPI | 1457130270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 639971-01) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2024-01-17 |