| NPI | 1699580688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R270679) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F312032) |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-05-14 |