| NPI | 1386886950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341727) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 500322) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2023-07-11 |