| NPI | 1992439897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030966) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 615055) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 615055) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-03-11 |