| NPI | 1518278910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 5794) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 5794) |
| 163W00000X Registered Nurse (Licence: NY 351656) | |
| 163WH0200X Registered Nurse Home Health (Licence: NY 351656) | |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: NY 351656) | |
| 163WP0200X Registered Nurse Pediatrics (Licence: NY 351656) | |
| 163WP2201X Registered Nurse Ambulatory Care (Licence: NY 351656) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2016-06-06 |