| NPI | 1760918213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3411901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341190) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2025-05-15 |