| NPI | 1245482108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 474258) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2016-05-20 |