| NPI | 1558642132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F346291) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305812-1) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NY F346291-01) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2025-03-07 |