| NPI | 1548492804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 336705) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 582760) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2013-10-15 |