| NPI | 1477349595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11038935) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |