| NPI | 1265864755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F306575-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY F306575-1) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2023-04-10 |