| NPI | 1871138594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 771884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353232) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2024-05-03 |