| NPI | 1235309477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F304037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 508521) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2009-01-26 |