| NPI | 1184053381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R227318) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2026-04-14 |