| NPI | 1427283944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304982-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 579102-1) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2011-09-06 |