| NPI | 1760922041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343460) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 720899-1) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2024-04-10 |