| NPI | 1356730709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 69-3151-1) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-10-25 |