| NPI | 1306199237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355918) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299441) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2025-02-02 |