| NPI | 1780703702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333919) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 396583) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-09-11 |