| NPI | 1114539368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 706816-1) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2024-07-23 |