| NPI | 1427804699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F359907-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 863527-01) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2026-07-05 |