| NPI | 1780487892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F352345) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F352345) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |