| NPI | 1841579315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348486) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627453) |
| 363L00000X Nurse Practitioner (Licence: NY 348486) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2025-02-05 |