| NPI | 1679806699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 342785) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618382) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2018-05-17 |