| NPI | 1568348506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY F433332) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F433332) |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |