| NPI | 1699088898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F308975-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 569398-1) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2021-07-02 |