| NPI | 1346455573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30009881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F3009881) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-07-01 |