| NPI | 1497365951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F355228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 748517) |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2025-06-06 |