| NPI | 1326009630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F332670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5289) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2025-05-07 |