| NPI | 1760202493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355389) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 730690) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-23 |