| NPI | 1952607954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F-335495) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 522509) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2016-09-02 |