| NPI | 1902189327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 649148) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2025-02-08 |