| NPI | 1346670908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354462) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 594853) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2024-09-10 |