| NPI | 1548714140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349919-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 225525257) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2022-07-29 |