| NPI | 1417076514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F450016) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 249157) |
| 363L00000X Nurse Practitioner (Licence: NY F301281) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-09-11 |