| NPI | 1013227164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349436-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 301636) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2024-11-11 |