| NPI | 1841921418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 804760) |
| 163W00000X Registered Nurse (Licence: PA RN697200) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-08-11 |