| NPI | 1932179520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 300222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 331304) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2009-03-05 |