| NPI | 1497294177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702519) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2024-10-23 |