| NPI | 1689234361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7396621) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-07-07 |