| NPI | 1942777313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012703) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01429000) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2026-03-17 |