| NPI | 1427274778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F-301437) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 301226) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-09-18 |