| NPI | 1477051621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345753-01) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 650932-1) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-01-13 |