| NPI | 1174849640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338495) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003483) |
| 163W00000X Registered Nurse (Licence: NY 659224) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2016-12-28 |