| NPI | 1609156827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305573-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 418580) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2014-05-19 |