| NPI | 1649425257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 543834-1) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2014-08-05 |