| NPI | 1568453330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300944) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 311280) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-11-14 |