| NPI | 1851189229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F356173-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F356173-01) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-05-05 |