| NPI | 1689397507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 349693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349693) |
| 163WG0000X Registered Nurse, General Practice (Licence: NY F349693-01) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-11-23 |