| NPI | 1194107086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 3396461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180103) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2023-09-05 |