| NPI | 1104301753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346819) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 456389) |
| Enumeration Date | 2018-09-30 |
| Last Update Date | 2022-05-17 |