| NPI | 1043003403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 211304) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-08-15 |