| NPI | 1255518288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 320076) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 6272016) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2011-11-07 |