| NPI | 1194060277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 564642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337246) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2013-07-22 |