| NPI | 1982277968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F347115) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2026-03-12 |