| NPI | 1568564037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F300213-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 3349331) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2012-04-25 |