| NPI | 1629262639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 506599) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2011-08-04 |