| NPI | 1023902426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F357388) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 212096) |
| 163W00000X Registered Nurse (Licence: NJ 26NR26036200) | |
| 163W00000X Registered Nurse (Licence: NY 975725) | |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-08-04 |