| NPI | 1447549894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY F345634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 647513) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2020-03-25 |