| NPI | 1831525153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 358563) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005170) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2026-01-12 |