| NPI | 1447203815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F330985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330985) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9359526) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9359526) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 6569) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-10-07 |