| NPI | 1912832866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 433735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY N30947) |
| 163W00000X Registered Nurse (Licence: CT 167973) | |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-08-13 |