| NPI | 1083648315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 333880) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 302354) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-06-05 |