| NPI | 1922415801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339878-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 671710-1) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2018-04-26 |