| NPI | 1669163481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352389-01) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 185129) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-04-01 |