| NPI | 1831878743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F357199-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 757170-01) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-09-11 |