| NPI | 1790518306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355290) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 783609) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-10-05 |