| NPI | 1326818915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038105) |
| 163W00000X Registered Nurse (Licence: NY 843388) | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2026-04-26 |