| NPI | 1558257592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 780535) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-07-30 |