| NPI | 1699008375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 012815) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2025-12-19 |