| NPI | 1962415935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F334400-1) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-06-24 |