| NPI | 1013369388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702675) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-10-14 |