| NPI | 1912730243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 38169) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 865946) |
| 163WE0003X Registered Nurse, Emergency (Licence: TN 254111) | |
| 363L00000X Nurse Practitioner (Licence: NY F355894-01) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-02-18 |