| NPI | 1447509641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 662062) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2018-08-28 |