| NPI | 1073051116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 642391) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346467) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2020-10-30 |