| NPI | 1780304691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F350098-01) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-02-04 |