| NPI | 1598573776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 312163) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 713224) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-01-31 |