| NPI | 1841316205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 159056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F301012) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-09-11 |