| NPI | 1245653088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 535933) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 401891) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2023-06-29 |