| NPI | 1285754762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335038) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 536209) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 20776) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-06-06 |