| NPI | 1013349075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005961) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F35776201) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2025-12-22 |