| NPI | 1518308147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 639451) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2025-10-16 |