| NPI | 1427665082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 659009-01) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 659009-01) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2021-12-03 |