| NPI | 1932546652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338418-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 788501) |
| 163W00000X Registered Nurse (Licence: NY 572740-1) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-08-04 |