| NPI | 1285076695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341062-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 3410621) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2022-08-17 |