| NPI | 1467608042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NY F331403-1) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 186271-1) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |