| NPI | 1255179933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 258209) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-08-05 |