| NPI | 1093031304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345412-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618962) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2020-05-26 |