| NPI | 1962718916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335974-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F335974-1) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2014-07-07 |