| NPI | 1659477909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 446197) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302015) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 333012) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |