| NPI | 1578157319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 431908) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 431908) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431908) | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2025-10-07 |