| NPI | 1801119847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355162-01) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299973) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2024-12-05 |