| NPI | 1003363656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 665263) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-04-07 |