| NPI | 1356797880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 350444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 722847) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2022-12-06 |