| NPI | 1396422325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 351888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 351888) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-07-31 |