| NPI | 1770916918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338151) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 338151) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 338151) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 338151) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 338151) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 338151) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: NY 338151) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2025-05-07 |