| NPI | 1801002746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 300535) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300535-1) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-04-18 |