| NPI | 1821397605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 629173) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2026-04-18 |