| NPI | 1194009332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: NY 308713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 333626) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |