| NPI | 1326506783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346383-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 217264) |
| 163WE0003X Registered Nurse, Emergency (Licence: GA 217264) | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-12-11 |