| NPI | 1861967887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 357356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9284945) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2025-10-30 |