| NPI | 1699530402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353289) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2025-06-26 |