| NPI | 1578219366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F354693-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001218942) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2026-08-12 |