| NPI | 1629813274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354598) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033502) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-01-16 |