| NPI | 1750998308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 794978) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2024-09-15 |