| NPI | 1679298905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350520) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY L318845) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2025-08-29 |