| NPI | 1871025882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345639-01) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 716833-1) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2021-02-16 |