| NPI | 1376916437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 309209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 683641) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2020-10-19 |