| NPI | 1477277614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F312726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 765846) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2026-10-07 |