| NPI | 1235255563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F400827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 526882) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-02-11 |