| NPI | 1427208610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304448) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 4769051) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2009-11-23 |