| NPI | 1538506993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306420) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 624167-1) |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2021-12-04 |