| NPI | 1629237284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F300770) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F380761) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2008-06-08 |