| NPI | 1356883250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 723274) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2022-02-21 |