| NPI | 1083845481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 615750-1) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2023-06-07 |