| NPI | 1689369878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350998) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407686) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 756400) | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2026-02-04 |