| NPI | 1548954878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F352309) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 751075) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-12-22 |