| NPI | 1639043706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 358059) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NY 320108) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-24 |