| NPI | 1821195512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NY MJ1144423) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304010) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2015-07-28 |