| NPI | 1124885819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357457) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 796419) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2025-07-25 |