| NPI | 1659841583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348642-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 741075) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2022-07-03 |