| NPI | 1275389330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 774632-01) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-07-25 |