| NPI | 1295926327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335221-1) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-11-13 |