| NPI | 1265770390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22581902) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2021-08-02 |