| NPI | 1871201350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311047) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 843679) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-11-08 |