| NPI | 1811001316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 333232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 519720) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-06-17 |