| NPI | 1942707161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308644-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 559546-1) |
| 163W00000X Registered Nurse (Licence: NY 599546) | |
| 363L00000X Nurse Practitioner (Licence: NY F308644-1) | |
| 364S00000X Clinical Nurse Specialist (Licence: NY 599546-1) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2023-10-18 |