| NPI | 1831473297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 339475) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 590131) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2015-02-26 |