| NPI | 1093758245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304844) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 3280222) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-02-09 |