| NPI | 1477377976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 2024067555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 807729) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2025-01-10 |