| NPI | 1700532389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NY 348122) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 348122) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |