| NPI | 1225105083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F335089) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2026-03-18 |