| NPI | 1982363081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 826119) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2023-08-04 |