| NPI | 1992239180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 645172) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-09-12 |