| NPI | 1043217300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 333859) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 333859) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NY 333859) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2013-09-25 |