| NPI | 1841527389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F351127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 713560-1) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2023-05-18 |