| NPI | 1104248301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337646) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 531835) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2016-12-13 |