| NPI | 1326809930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356293) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 618470) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-03-04 |