| NPI | 1962991976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21738) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2025-12-05 |