| NPI | 1265800874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R206450) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-06-15 |