| NPI | 1043960651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349684-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 735261-01) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 735261) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2025-11-12 |