| NPI | 1700681780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 356128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 771961) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-26 |