| NPI | 1720357874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704931) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2024-02-28 |