| NPI | 1093898504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F333362-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 651682) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2013-01-10 |