| NPI | 1932710126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345606-01) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: NY F345606-01) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |