| NPI | 1831512466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F310846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 642238) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2022-08-31 |