| NPI | 1235943846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356904) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: NY 701712) |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-05-30 |