| NPI | 1679367940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 847054) |
| 163W00000X Registered Nurse (Licence: NJ 26NR26237300) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-07-25 |