| NPI | 1932164142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 333710) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2586542) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-06-18 |