| NPI | 1982562195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 900088) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F358759) |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-02-17 |