| NPI | 1902385685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 755938) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2025-12-07 |