| NPI | 1598370389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F345811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 8818) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2025-04-11 |