| NPI | 1477320679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 737620-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F353448-01) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F353448-01) | |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-07-30 |