| NPI | 1821882333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356261) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 356261) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 356261) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 356261) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 356261) | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-07-01 |