| NPI | 1699218370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307564-1) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NY A486273-1) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |