| NPI | 1801261060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F35116901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 706420) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2023-04-21 |