| NPI | 1831331602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333573-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 3624) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2011-09-01 |