| NPI | 1568770238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 463448) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382127) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2016-04-15 |