| NPI | 1811545593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351404) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 572777-1) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-07-25 |