| NPI | 1295176774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9405835) |
| 163W00000X Registered Nurse (Licence: NY 672386) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2023-01-26 |