| NPI | 1982852497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 538078) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2020-09-24 |