| NPI | 1578080636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311347) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 737845) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-10-30 |