| NPI | 1396841730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R181475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 487-661) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F332935-1) | |
| 163W00000X Registered Nurse (Licence: MD R181475) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-08-15 |