| NPI | 1093122525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686918-1) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-06-11 |