| NPI | 1689996621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577428) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307088) | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2019-12-20 |