| NPI | 1093886830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300597) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: NY 300597) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-01-21 |