| NPI | 1235680844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F348694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 720610) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2022-08-17 |