| NPI | 1285510446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 9481725) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 360544) | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2026-07-31 |