| NPI | 1942841598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309427) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 309427) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2025-04-11 |