| NPI | 1366677981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F354545-01) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x0117861) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2025-04-01 |