| NPI | 1134241078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f304406-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 474257) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-04-20 |