| NPI | 1801066386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 529350) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9298890) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2019-05-17 |