| NPI | 1477327336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F357617-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028295) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2025-11-06 |