| NPI | 1417080862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 402001-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302241-1) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |