| NPI | 1073857827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 358962) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 311330) |
| 163W00000X Registered Nurse (Licence: NY 755664) | |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2026-06-22 |