| NPI | 1265625909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F335764) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003662) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2011-07-22 |