| NPI | 1437472396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F301315-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 263181-1) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |