| NPI | 1740760511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F312382-01) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 756235) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2025-12-11 |