| NPI | 1770157661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 775208) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311304) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2023-10-05 |