| NPI | 1841953593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 310599) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2026-01-07 |