| NPI | 1477541118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 343024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 343024) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F333655) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2008-04-30 |