| NPI | 1467407965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 440028) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F4001551) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-01-18 |