| NPI | 1730815739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30228) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-08-07 |