| NPI | 1316388366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 634760) |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 634760) | |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2017-05-15 |