| NPI | 1316354921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337839-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337839) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2025-04-05 |