| NPI | 1821605056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F346862-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 497749) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2024-10-29 |