| NPI | 1811635261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11039243) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 226316) | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-07-09 |