| NPI | 1629816277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 773315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 354761) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |