| NPI | 1447547856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 353538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633068) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-05-07 |