| NPI | 1235535410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311297) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 689309-1) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2024-01-23 |