| 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 |