| NPI | 1194036541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307075) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 4405991) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2015-06-18 |