| NPI | 1588996193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308116) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004179-1) |
| 163W00000X Registered Nurse (Licence: NY 689700) | |
| Enumeration Date | 2010-02-06 |
| Last Update Date | 2017-03-16 |