| NPI | 1942020771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9591898) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-11-24 |