| NPI | 1568093003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345295) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F34529501) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2026-06-29 |