| NPI | 1861738866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F310916-01) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NY 312208) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2022-11-04 |