| NPI | 1073385266 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353137) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 765074) | 
| Enumeration Date | 2023-10-23 | 
| Last Update Date | 2025-01-13 |