| NPI | 1093264079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 552839) |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2024-06-07 |