| NPI | 1396978334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 331808) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9256273) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |