| NPI | 1457850893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f342879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 659471) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2019-01-02 |