| NPI | 1225292006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335517) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2009-10-28 |