| NPI | 1083436216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355515) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 722677) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-02-11 |