| NPI | 1154185858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F357572-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 689501) |
| 163W00000X Registered Nurse (Licence: NJ 26NR22841300) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-08-27 |