| NPI | 1245399419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301643) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY F301643) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2017-05-09 |