| NPI | 1487081022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 673031) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-07-12 |