| NPI | 1801149141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334605) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 471567) |
| 163WC0400X Registered Nurse, Case Management (Licence: SC 80858) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |