| NPI | 1831268523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F4000881) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 203396) |
| 363L00000X Nurse Practitioner (Licence: NY 265410) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-03-04 |