| NPI | 1851775837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686971) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2016-06-20 |