| NPI | 1093751885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 333692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 366284) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-08-26 |