| NPI | 1497199129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307437-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 420653) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-07-02 |