| NPI | 1528188505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334486) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: NY 445736) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2017-03-04 |