| NPI | 1053744490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337924-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 005361) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-09-29 |