| NPI | 1043793839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308845-1) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 632605-1) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2025-06-03 |