| NPI | 1952475527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY f300058-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 002125) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2013-06-27 |