| NPI | 1629365788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: NY 43 430914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 430914) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-06-29 |