| NPI | 1609950351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306480-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3133) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-12-19 |