| NPI | 1386622090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F301130) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2009-01-29 |