| NPI | 1366962896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 638855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 357522) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-12-30 |