| NPI | 1588972145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338432-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618403) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2022-12-27 |