| NPI | 1548545718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306133-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 579448) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2013-05-24 |