| NPI | 1437915683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 354481) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP029336) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-07-08 |