| NPI | 1801335344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342875) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL RN9343907) |
| 164W00000X Licensed Practical Nurse (Licence: NY 662271-1) | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2023-08-24 |