| NPI | 1821310913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R198459) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2021-10-04 |