| NPI | 1265425276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F332769) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 332769) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2012-07-11 |