| NPI | 1528362761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 628411-1) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2019-02-11 |