| NPI | 1952622425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618927) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2025-09-12 |