| NPI | 1124814249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY F356932-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 754614) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-07-25 |