| NPI | 1598654725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f359055-01) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 878365) |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2026-03-30 |