| NPI | 1295528081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 357284) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 357284) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-07-09 |