| NPI | 1306095658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 503813) |
| 363L00000X Nurse Practitioner (Licence: NY 344797) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2024-10-03 |