| NPI | 1598004814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 356043) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 313035) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2025-09-08 |