| NPI | 1083783278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 335005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335005) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-06-13 |