| NPI | 1194503441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352923) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028694) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-12-20 |