| NPI | 1801643309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F354542-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 631156) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-06-24 |