| NPI | 1982494761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11039546) |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2026-04-18 |