| NPI | 1457660839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 304315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003832) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2016-01-14 |