| NPI | 1265751929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627725-1) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2016-08-03 |