| NPI | 1407122385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342337) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 451678) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2018-12-29 |