| NPI | 1255757464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627385) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2021-06-22 |