| NPI | 1841721651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f341328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341328) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-08-06 |