| NPI | 1659689834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F336354) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 336354) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2016-10-31 |