| NPI | 1558965962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F311069-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F311069) |
| 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: NY 521343) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-11-19 |