| NPI | 1619487873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 681733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 356524) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2025-10-21 |