| NPI | 1497029342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 572168) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2022-10-06 |