| NPI | 1568235331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657264) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311727) | |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2025-07-28 |