| NPI | 1316171150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 603323-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VT 026.0047234) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |