| NPI | 1649082306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311011) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F311011-01) |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-02-21 |