| NPI | 1144760356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340885) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340885-1) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2026-02-10 |