| NPI | 1518278399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 337057) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 581487) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2016-11-10 |