| NPI | 1386072676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F350431) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 310754-1) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2022-09-30 |