| NPI | 1669260154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356902) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 573730) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-10-16 |