| NPI | 1811054836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F3344307-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 33105-1) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-03-21 |