| NPI | 1215727680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse School (Licence: NY 7294458) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 7294458) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |