| NPI | 1689806341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336055) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 336055) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2018-02-15 |