| NPI | 1821983651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 358011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11042600) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2026-06-22 |