| NPI | 1346886439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F309307-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 689011-1) |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2020-09-25 |