| NPI | 1538227558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 320043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F320043) |
| 363L00000X Nurse Practitioner (Licence: PA SP012504) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-06-16 |