| NPI | 1235362781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R206181) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 520164) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2018-10-24 |