| NPI | 1841280799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 331591) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 2982561) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 3012501) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2011-09-20 |