| NPI | 1215341037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 306820) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F306820) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 306820) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2026-05-20 |