| NPI | 1093529141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F356364-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 830717) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-05-22 |