| NPI | 1841990363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 351553) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 734950) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-09-19 |