| NPI | 1831652874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 615307) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2022-11-08 |