| NPI | 1548234081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338028) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 252379-1n) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-03-30 |