| NPI | 1922468990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 340454) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 537824) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2021-07-08 |