| NPI | 1386803468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333866-1) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 297819) |
| 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: NY 297819) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |