| NPI | 1518518364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 355070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 641284) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2024-10-10 |