| NPI | 1255325825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F3023661) |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management (Licence: NY F30236601) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2011-02-11 |