| NPI | 1285341966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 735258) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2025-06-15 |