| NPI | 1265887988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F339521-1) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: NY 523984-1) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-17 |