| NPI | 1326620246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347600) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2026-04-14 |