| NPI | 1033432893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30305333) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 42420977) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |