| NPI | 1932810553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 432520) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432520) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-135432) | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-12-31 |