| NPI | 1396062444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627649) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2025-05-14 |