| NPI | 1346475613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 338793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 607074) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2016-02-10 |