| NPI | 1457683567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 392788) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-11 |