| NPI | 1386955169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308353) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 584099) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2019-01-25 |