| NPI | 1477421923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 358014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11043253) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-11-25 |