| NPI | 1578539854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308265-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 008220) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-01-18 |