| NPI | 1346622545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 688254) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2019-05-02 |