| NPI | 1104172014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430611-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 561531-1) |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2012-07-29 |