| NPI | 1396892501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 478896-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303539) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340560) | |
| 163W00000X Registered Nurse (Licence: NC 244672) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-06-16 |