| NPI | 1497802672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 520995) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-10-17 |