| NPI | 1073855375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306824-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15646600) |
| 163W00000X Registered Nurse (Licence: NY 650938-1) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2020-09-23 |