| NPI | 1992181242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 578656-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339126-1) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2015-08-09 |