| NPI | 1447253471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300318) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335553) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-08-26 |