| NPI | 1487731840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301174) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 232380) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-09-09 |