| NPI | 1134958416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 354859) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 354859) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 354859) | |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2026-08-02 |