| NPI | 1386076560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337853-1) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 644409-1) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |