| NPI | 1891549556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 681875-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309751) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-07-25 |