| NPI | 1881853893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 574229) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343328) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 574229) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2021-01-18 |