| NPI | 1649889049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 348431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 142421) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2022-10-20 |