| NPI | 1528406212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33338268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5826131) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2018-12-19 |