| NPI | 1356510655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 340861) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NY 631368) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2017-02-21 |