| NPI | 1740866086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 347802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 716760) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2025-09-25 |