| NPI | 1003160508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347979-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9458779) |
| 163W00000X Registered Nurse (Licence: NY 6310161) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11011264) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2024-03-28 |