| NPI | 1477263671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 356090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 749095) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2025-07-15 |