| NPI | 1821544347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 620375-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339527-1) |
| 163W00000X Registered Nurse (Licence: NY 620375-1) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2026-01-29 |