| NPI | 1285813816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303700-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 346089-1) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2016-11-27 |