| NPI | 1275851644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 580105-1) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2026-04-22 |