| NPI | 1689442998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 751069) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-02-26 |