| NPI | 1043446313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033308) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT8636) |
| 163W00000X Registered Nurse (Licence: NY 559525-1) | |
| 163W00000X Registered Nurse (Licence: FL RN9237925) | |
| 225X00000X Occupational Therapist (Licence: NY 006385) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2024-07-03 |