| NPI | 1619701620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 954558) |
| 163W00000X Registered Nurse (Licence: CA 95381021) | |
| 163W00000X Registered Nurse (Licence: GA RN323785) | |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2025-04-23 |