| NPI | 1962834051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337727) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 594157-1) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2015-02-03 |