| NPI | 1871934224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338638) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657901-1) |
| 163W00000X Registered Nurse (Licence: NJ 26NR16174900) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2014-03-18 |