| NPI | 1831343938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F334716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 509875) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2018-07-10 |