| NPI | 1609186113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 487500-1) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-12-12 |