| NPI | 1538324991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F304882-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 407046-1) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2012-08-06 |