| NPI | 1669164463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 351726) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 351726) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 351726) | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |