| NPI | 1528562105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627210) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-10-01 |