| NPI | 1932405339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 302062-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11027859) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2024-05-16 |