| NPI | 1629581095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F353438) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 328647) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2024-08-22 |