| NPI | 1760505374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 501083) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2018-06-06 |