| NPI | 1235335662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302283) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 297896-1) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 297896-1) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-08-26 |