| NPI | 1093008815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346443) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: NY 519816) |
| 163WE0003X Registered Nurse, Emergency (Licence: NY 519816) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2020-12-11 |