| NPI | 1043649890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354755) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 310094-1) |
| 163W00000X Registered Nurse (Licence: NY 771135) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 354755) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2024-08-16 |