| NPI | 1952603441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633981) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2021-03-02 |