| NPI | 1043330939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 308856) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-09-11 |