| NPI | 1336553338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350935-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687069-01) |
| 164W00000X Licensed Practical Nurse (Licence: NY 305250) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2025-05-20 |