| NPI | 1346626868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 426320-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F420535-1) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |