| NPI | 1639889181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355061) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 730598-01) |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2024-09-11 |