| NPI | 1174746499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F332587-1) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 314022-1) |
| 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: NJ 26NN06671900) | |
| 174400000X Specialist (Licence: NY F300719-1) | |
| 174400000X Specialist (Licence: NY F340111-1) | |
| 174400000X Specialist (Licence: NJ 26NN06671900) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-02-19 |