| NPI | 1649091638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 960786) |
| 163W00000X Registered Nurse (Licence: PA RN737993) | |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |