| NPI | 1811017833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F300903) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 388867) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2023-10-05 |