| NPI | 1023451390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 306370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 340897) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |