| NPI | 1992273536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F11240272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F11240272) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2025-08-07 |