| NPI | 1184330367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 351397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 752707) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-11-26 |