| NPI | 1558619494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344213) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 660098) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2019-07-18 |