| NPI | 1497063010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R248512) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 542089) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 340624) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2023-08-24 |