| NPI | 1083718704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333916) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY F333916-1) |
| 163WG0000X Registered Nurse, General Practice (Licence: NY F333916-1) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-07-06 |