| NPI | 1699098731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 607051-1) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2016-11-21 |