| NPI | 1306257746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 683821) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2019-09-26 |