| NPI | 1538281761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335298) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 329054) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-10-18 |