| NPI | 1952603441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017789) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346154) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5017789) | |
| 163W00000X Registered Nurse (Licence: NY 633981) | |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2025-07-14 |