| NPI | 1033508551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339093) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 612489) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-11-16 |