| NPI | 1124380035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 461306-1) |
| 171100000X Acupuncturist (Licence: NY 002249) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2025-01-15 |