| NPI | 1942039391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 354883) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: NY 760652) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-12 |