| NPI | 1619337714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309417) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 293054) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2026-02-10 |