| NPI | 1174743843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 335039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 516758) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2010-04-22 |