| NPI | 1093952608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F334723-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 334723) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2016-11-30 |