| NPI | 1235390980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337123-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 522913-1) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-05-15 |