| NPI | 1760591630 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300442-1)  | 
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: NY 188142-1)  | 
| Enumeration Date | 2006-08-30 | 
| Last Update Date | 2025-09-11 |