| NPI | 1407269400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346512) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F346512-01) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2025-01-28 |