| NPI | 1972037786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-90258) |
| 163W00000X Registered Nurse (Licence: NY 712855) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2021-07-05 |