| NPI | 1194446187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 356182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ND R47348) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2025-05-19 |