| NPI | 1770917437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 668973) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2022-02-04 |