| NPI | 1558089482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 350297) |
| 163W00000X Registered Nurse (Licence: NY 829113) | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2025-11-10 |