| NPI | 1548398456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 336-318) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F301597-1) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |