| NPI | 1346584034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338786) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 534902-1) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2014-12-17 |