| NPI | 1265850606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306851) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 408998) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-22 |