| NPI | 1831535897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F347311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 669265) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2021-02-23 |