| NPI | 1194404715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F35673501) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 731545-01) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-05-26 |