| NPI | 1386905909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337099-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337099-01) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-03-13 |