| NPI | 1750979522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355107-01) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 718818) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2025-01-22 |