| NPI | 1093339996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309890) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 634907) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-06-24 |