| NPI | 1215246657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 431394) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6251891) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2019-01-30 |