| NPI | 1366961526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 341863) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 660206) |
| 207Q00000X Family Medicine (Licence: NY 341863) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F341863) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2025-01-24 |