| NPI | 1457696734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349407-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 654324) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2024-06-24 |