| NPI | 1306126107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305764-1) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: NY 547289-1) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2018-10-25 |