| NPI | 1003104787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 571396-1) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2013-07-10 |