| NPI | 1215114616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347270) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 284903) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2021-06-09 |