| NPI | 1952756116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 337704) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY 398343) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2025-03-19 |