| NPI | 1942320833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F333150) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 442155) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |