| NPI | 1457198046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 885470-01) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-08-25 |