| NPI | 1831802867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f350993) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 625145) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |