| NPI | 1285950378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 543443-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 344756) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2024-12-12 |