| NPI | 1730486440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 649746) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 287022) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342046) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2024-06-14 |