| NPI | 1710146048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f30328-1) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NY f303282-1) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |