| NPI | 1659166718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312309) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: NY 687711) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-09-10 |