| NPI | 1578535779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 416301-1) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2011-08-09 |