| NPI | 1043623796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345171) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 685362) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-07-20 |