| NPI | 1144659798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 316567) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11045278) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2026-02-17 |