| NPI | 1497052260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9197230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY RN9197230) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY A0806313) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2016-03-04 |