| NPI | 1164614962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 3031681) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F3031681) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2015-01-23 |