| NPI | 1184845661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F300544-1) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F381179-1) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |