| NPI | 1922359827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 463877) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |