| NPI | 1699429332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 825172) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-11-19 |