| NPI | 1811055601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334984) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 334984) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 5712) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-04-12 |