| NPI | 1962430959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F333162) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-06-18 |