| NPI | 1467491126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003475) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-30 |