| NPI | 1386888022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F336253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 510010-1) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2013-01-24 |