| NPI | 1467895367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F340895-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F30638-1) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |