| NPI | 1336729292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 763182-1) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-07-23 |