| NPI | 1295962892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 613240) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 613240) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2010-03-30 |