| NPI | 1477186229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 695867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345885) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-12-22 |