| NPI | 1033094313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-286008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 355874) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2026-06-02 |