| NPI | 1578247334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 809369) |
| 163W00000X Registered Nurse (Licence: OH RN.501199) | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |