| NPI | 1841579315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 1612836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627453) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2024-06-14 |