| NPI | 1699173112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F335398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 384576) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |