| NPI | 1427109784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 332149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332149) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2016-06-13 |