| NPI | 1427483296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33-340159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 624365) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-01-20 |