| NPI | 1457734634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 682148) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-10-10 |