| NPI | 1225332158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 728734) |
| 164W00000X Licensed Practical Nurse (Licence: NY 303999) | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2025-06-30 |