| NPI | 1124011838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304351) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 428636-1) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: ID NP-647) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2016-07-14 |