| NPI | 1841677515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 360094) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 315185) |
| 163W00000X Registered Nurse (Licence: NY 797561) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2026-06-18 |