| NPI | 1437957701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 357923) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209030880) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15521400) | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2026-03-30 |