| NPI | 1841620119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348298) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 679597) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2022-04-22 |