| NPI | 1871033571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F353842-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 714565) |
| 163W00000X Registered Nurse (Licence: FL 9427482) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2026-02-22 |