| NPI | 1093705873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F331431-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 255571-1) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-04-24 |