| NPI | 1013369388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 341514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702675) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-09-29 |