| NPI | 1477798080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11040481) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2025-08-08 |