| NPI | 1801102140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338483-1) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 571288) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2014-09-09 |