| NPI | 1366287385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R254549) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347117) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-06-13 |