| NPI | 1528205671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 509813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335202-1) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2024-03-26 |