| NPI | 1457653511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F330171-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F330171-1) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |