| NPI | 1861822330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F342583-1) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 669894-1) |
| 163WP0200X Registered Nurse Pediatrics (Licence: NY 669894-1) | |
| 363LF0000X Nurse Practitioner Family (Licence: CT 011635) | |
| 163WH0200X Registered Nurse Home Health (Licence: NY 669894-1) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2023-05-16 |