| NPI | 1346706801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11033994) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309081) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NY 309081) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 309081) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2026-03-03 |