| NPI | 1467238824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311587-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F311587-01) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-05-07 |