| NPI | 1013184589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33340264) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 502670-1) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-09-19 |