| NPI | 1255644241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F312058) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 628986-1) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2025-03-09 |