| NPI | 1588924617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336662) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: NY 434410) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2014-11-10 |