| NPI | 1760309959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY N37113-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 360755) |
| Enumeration Date | 2026-06-30 |
| Last Update Date | 2026-08-13 |