| NPI | 1427581909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F34664201) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7631-33) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-07-14 |