| NPI | 1346670668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351762-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 756699-1) |
| 164W00000X Licensed Practical Nurse (Licence: NY 315798-1) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2023-10-05 |