| NPI | 1225662414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355867) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 700968) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2025-07-27 |