| NPI | 1487740999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 451450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 332677) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |