| NPI | 1285240275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-162420) |
| 163W00000X Registered Nurse (Licence: NY 780500) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2022-11-23 |