| NPI | 1508077231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 488837) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-12-03 |