| NPI | 1548599731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 617469) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 306631) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2013-08-21 |