| NPI | 1841976248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 351805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 2380467) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2025-02-24 |