| NPI | 1871223354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 349774) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 649121) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-28 |