| NPI | 1538745948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 293082) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-07-08 |