| NPI | 1669776951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347433) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 018663) |
| 163W00000X Registered Nurse (Licence: NY 713661) | |
| Enumeration Date | 2011-01-01 |
| Last Update Date | 2022-09-12 |