| NPI | 1063662013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 304238) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 304238) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |