| NPI | 1386902690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309553) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 521848-1) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2020-02-25 |