| NPI | 1265834071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NY 320090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 603950) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2017-01-09 |