| NPI | 1952800922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310788-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 470418) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2022-10-27 |