| NPI | 1619757309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC .27863) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-09-11 |