| NPI | 1689000366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 338343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 546461) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2017-05-09 |