| NPI | 1689776023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336302-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 336302) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2011-03-31 |