| NPI | 1023134459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F331139-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f3021350) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F300179-1) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-08-13 |