| NPI | 1013454032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341286-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 1784361) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2023-04-03 |