| NPI | 1457484172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NY 200250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 296463) |
| 363L00000X Nurse Practitioner (Licence: NY F400069) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-07-25 |