| NPI | 1992030373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338394) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618992) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2017-10-15 |