| NPI | 1932585544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f336821-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 608477-1) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |