| NPI | 1679801633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 576732) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2022-09-07 |