| NPI | 1588809826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 335190) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F3351907) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2015-06-02 |