| NPI | 1851703037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F338673-) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338673-1) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |