| NPI | 1083733083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 324370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 302757) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |