| NPI | 1720184443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 399737-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN963715) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |