| NPI | 1841277050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 301931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334126) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-10-18 |