| NPI | 1093045353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187047) |
| Enumeration Date | 2010-01-10 |
| Last Update Date | 2024-07-22 |