| NPI | 1932883022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 383595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 666094) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2025-09-17 |