| NPI | 1659059509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 712916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347428) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |