| NPI | 1912441239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 706075) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F312372) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2025-08-13 |