| NPI | 1831808807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 718152) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-08-23 |