| NPI | 1679298442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 716976) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-12-08 |