| NPI | 1619656691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352760) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: NY 764789) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-02-09 |