| NPI | 1245529627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F336585) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2019-09-16 |