| NPI | 1548715733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f308678-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 659900) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2018-11-20 |