| NPI | 1780009100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F334448) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F334448) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |