| NPI | 1891474490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355888) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 738082) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-04-27 |