| NPI | 1275590580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY F304129) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO F304129) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-07-08 |