| NPI | 1518215151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306169) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 650119) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |