| NPI | 1982933784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350028-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 622286) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350028) | |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2024-09-19 |