| NPI | 1144814351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F30963301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F30963301) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2023-03-26 |