| NPI | 1891541827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353523) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 353523) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-10-14 |