| NPI | 1831323062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 613061) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2021-11-17 |