| NPI | 1942507900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F335989-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 436331) |
| Enumeration Date | 2011-02-26 |
| Last Update Date | 2011-12-15 |