| NPI | 1215239165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11023422) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 290953-1) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2023-08-25 |