| NPI | 1134712938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349266) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 721981) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2024-05-02 |