| NPI | 1356782742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 630917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338183) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2016-04-07 |