| NPI | 1750532891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NY 304887) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 2059028) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2024-01-05 |