| NPI | 1326688433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344414-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f06190642) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2025-01-22 |