| NPI | 1740410539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f332244-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2222071) |
| 163W00000X Registered Nurse (Licence: NY 4479701) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F3403281) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2010-10-28 |