| NPI | 1285172189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 341568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 688306) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2022-12-27 |