| NPI | 1275522260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 334796-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303730) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 334796) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2010-01-05 |