| NPI | 1457529273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 3349871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003596) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2016-05-31 |