| NPI | 1497182083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304443-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 412732-1) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2018-07-02 |