| NPI | 1780569293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355958) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 728689) |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |