| NPI | 1477724334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 335605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 482349) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335605) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2023-07-06 |