| NPI | 1902061187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F304925-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F304925-1) |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2008-07-27 |