| NPI | 1962861799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339866) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 620243) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2017-02-22 |