| NPI | 1548595713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1034391) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX2995) |
| 163W00000X Registered Nurse (Licence: NY 661054-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306800) | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2014-08-06 |