| NPI | 1194228080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F359223) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330409-1) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2026-03-25 |