| NPI | 1811304488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 685828) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f311615-01) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-08-21 |