| NPI | 1710492723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 547922-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344059) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2022-06-27 |