| NPI | 1952856494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F356637-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 356637) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2025-09-04 |