| NPI | 1083660401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F301540-1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F301540-1) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-17 |