| NPI | 1558665018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310116-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 298220) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2026-03-24 |