| NPI | 1831603919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 342213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 342213) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 342213) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342213) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 342213) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 342213) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 342213) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-03-15 |