| NPI | 1245610161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 691396) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2024-09-16 |