| NPI | 1013172469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 601639) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2020-04-20 |