| NPI | 1972087302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 358900) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 3271071) |
| 163W00000X Registered Nurse (Licence: NY 781798) | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2026-08-19 |