| NPI | 1124338520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307491) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 599878-1) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2021-07-23 |