| NPI | 1134415755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 605899-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345130) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-02-06 |