| NPI | 1194781930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F300527-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 045554-23) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2017-02-09 |