| NPI | 1386944395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344873) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 595652) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2022-06-21 |