| NPI | 1598702227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F330823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 427027) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-04-01 |