| NPI | 1427230861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F304659) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F304659-1) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2010-04-15 |