| NPI | 1144406935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5142021) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2025-05-29 |