| NPI | 1437272077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 464315-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY F304124-1) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |