| NPI | 1619176104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335900) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 537125) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2021-02-22 |