| NPI | 1447084538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F354234-01) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-02-12 |