| NPI | 1467130559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 5814021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 356386) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2026-03-04 |