| NPI | 1598094773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 615908-1) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2018-06-07 |