| NPI | 1588418313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 696559) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-10-15 |