| NPI | 1033550884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 637448) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2015-06-30 |