| NPI | 1447354063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 331734-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 396912-1) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-08-28 |