| NPI | 1003402009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 758821) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2025-03-17 |