| NPI | 1841319944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 409481) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-09-11 |