| NPI | 1497978670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F331200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 464883) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-05-13 |