| NPI | 1508098369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22 619867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F356887-01) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2025-09-19 |