| NPI | 1831410125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 593712) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2013-08-26 |