| NPI | 1477257798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 351559) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2025-09-17 |