| NPI | 1588422778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 2023166903) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 13166) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-05-15 |