| NPI | 1629435938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r166764) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2026-03-09 |