| NPI | 1194050609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F310937-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 610355) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2023-12-21 |