| NPI | 1225493679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 3400388) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 677943) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2016-05-04 |