| NPI | 1114432200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350198) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 742106) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2022-10-03 |