| NPI | 1225821010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 578196) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15333800) | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-07-22 |