| NPI | 1316795537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 354775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 582400-01) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-04-08 |